Individual provider Active NPI

Robert A Pendley, MD

  • Gastroenterology Physician
  • Murrells Inlet, SC
National Provider Identifier
1750370029
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
14863 Issued in SC
Practice address
4040 Highway 17 Unit 302
Murrells Inlet, SC 29576-5098
Phone
(843) 652-8290
Fax
(843) 652-8299
NPI assigned
Oct 19, 2005
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 00008981 AL
Gastroenterology Physician 207RG0100X 14863 SC Primary
Gastroenterology Physician 207RG0100X TP928 KY

Addresses

Primary practice location

4040 Highway 17 Unit 302
Murrells Inlet, SC 29576-5098

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other practice location 1

606 Black River Rd Ste 300
Georgetown, SC 29440-3304
Phone (843) 652-8290

Other practice location 2

460 Lanier Rd
Ste 203
Madison, AL 35758
Phone (256) 533-6488

Other practice location 3

2200 Crow Ln Ste 302
Myrtle Beach, SC 29577-1663
Phone (843) 848-5320

Other practice location 4

606 Black River Rd Ste 301
Georgetown, SC 29440-3304
Phone (843) 527-3428

Other practice location 5

2200 Crow Ln Ste 102
Myrtle Beach, SC 29577-1663
Phone (843) 848-5120

Other identifiers 1

IdentifierTypeStateIssuer
009972255MedicaidAL

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address rpendley@tidelandshealth.org Direct Georgetown Physician Associates
Direct Messaging Address rpendley@tidelandshealth.org Direct Georgetown Physician Associates
Direct Messaging Address rpendley@tidelandshealth.org Direct Georgetown Physician Associates
Direct Messaging Address rpendley@tidelandshealth.org Direct Georgetown Physician Associates
Direct Messaging Address rpendley@tidelandshealth.org Direct Georgetown Physician Associates

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200324002315 SC Practitioner - Gastroenterology 2163487968 Reassigns benefits to 2 organizations
I20220120002346 TX Practitioner - Gastroenterology 2163487968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Emory University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1011 N Fraser St
Georgetown, SC 29440-2848
Phone (843) 527-3428

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy69
Upper gastrointestinal (GI) endoscopy for acid reflux30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00008981ALMDGastroenterology Physician
TP928KYMDGastroenterology Physician
14863SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Jan 17, 2022 Accepting new patients
Georgetown Physician Associates Gastroenterology CurrentSince Apr 3, 2023 Accepting new patients
Tidelands Health ASC LLC CurrentSince Oct 23, 2025 Accepting new patients
Georgetown Physician Associates, LLC Current Accepting new patients
Cherokee Nation CurrentSince Jan 17, 2022 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Georgetown Physician Associates LLC CurrentSince Apr 3, 2023 Accepting new patients
Heca, LLC Past Accepting new patients
General Surgery Associates Past Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

1011 N Fraser St
Georgetown, SC 29440
Phone (803) 527-3428

606 Black River Rd
Ste 300
Georgetown, SC 29440
Phone (843) 527-4343

606 Black River Rd
Ste 301
Georgetown, SC 29440
Phone (843) 527-3428

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4040 Highway 17
Unit 302
Murrells Inlet, SC 29576
Phone (843) 652-8290

2200 Crow Ln
Ste 102
Myrtle Beach, SC 29577
Phone (843) 520-8217

2200 Crow Ln
Ste 302
Myrtle Beach, SC 29577
Phone (843) 848-5320

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

Interoperability endpoints

  • Direct secure messaging: rpendley@tidelandshealth.org
  • Direct secure messaging: rpendleymd291789@carlehiedirect.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1750370029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 HIGHWAY 17 UNIT 302",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765098",
            "telephone_number": "843-652-8290",
            "fax_number": "843-652-8299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Black River Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403304",
            "country_code": "US",
            "telephone_number": "843-652-8290",
            "fax_number": "843-546-8216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Lanier Rd",
            "address_2": "Ste 203",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "35758",
            "country_code": "US",
            "telephone_number": "256-533-6488",
            "fax_number": "256-533-6495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Crow Ln Ste 302",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295771663",
            "country_code": "US",
            "telephone_number": "843-848-5320",
            "fax_number": "843-652-8299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Black River Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403304",
            "country_code": "US",
            "telephone_number": "843-527-3428",
            "fax_number": "843-546-8216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Crow Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295771663",
            "country_code": "US",
            "telephone_number": "843-848-5120",
            "fax_number": "843-848-5125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDLEY",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "00008981",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "14863",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "TP928",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009972255",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpendley@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd Ste 301",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpendley@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Crow Ln Ste 102",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295771663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpendley@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd Ste 300",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpendley@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Crow Ln Ste 302",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295771663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpendley@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4040 Highway 17 Unit 302",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.